Individual
DR. REED K JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1090 W PARK PL STE B, COEUR D ALENE, ID 83814-2785
(208) 292-0697
(208) 292-0357
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
(208) 625-2070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-1526
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002420900
—
ID
01
—
1526
IDAHO STATE DENTAL LICENSE
ID
Enumeration date
08/16/2006
Last updated
10/30/2025
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